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      한국의 정신질환 치료격차 감소를 위한 전략 = Strategies for Reducing Mental Disorder Treatment Gap in Korea

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      https://www.riss.kr/link?id=A107022004

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      다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

      The treatment gap can be defined as the difference between the proportion of people who have the disease and the proportion of those who receive proper treatment. The mental disorder treatment gap should be resolved because mental disorders have a substantial socioeconomic burden. This study examined the current status of the mental disorder treatment gap in Korea to identify the strategies to address it. The causes of the mental disorder treatment gap include a lack of human resources, a lack of financial resources, and low mental health literacy. To reduce the treatment gap, improving the medical fee of the psychiatric intervention, improving the quality of the assessment on the psychiatric residency training program, the provision of basic mental health services delivered by primary care physicians, the inclusion of classes on mental health in the school curricula, and the promotion of public’s mental health literacy through the active use of media should be considered. The present article is significant in that it proposed cost-effective measures by adding them to existing systems. The quantitative evaluation of mental health intervention is essential for these methods to be carried out effectively.
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      The treatment gap can be defined as the difference between the proportion of people who have the disease and the proportion of those who receive proper treatment. The mental disorder treatment gap should be resolved because mental disorders have a sub...

      The treatment gap can be defined as the difference between the proportion of people who have the disease and the proportion of those who receive proper treatment. The mental disorder treatment gap should be resolved because mental disorders have a substantial socioeconomic burden. This study examined the current status of the mental disorder treatment gap in Korea to identify the strategies to address it. The causes of the mental disorder treatment gap include a lack of human resources, a lack of financial resources, and low mental health literacy. To reduce the treatment gap, improving the medical fee of the psychiatric intervention, improving the quality of the assessment on the psychiatric residency training program, the provision of basic mental health services delivered by primary care physicians, the inclusion of classes on mental health in the school curricula, and the promotion of public’s mental health literacy through the active use of media should be considered. The present article is significant in that it proposed cost-effective measures by adding them to existing systems. The quantitative evaluation of mental health intervention is essential for these methods to be carried out effectively.

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      참고문헌 (Reference)

      1 서미경, "한국인의 정신건강이해력 평가와 취약집단분석" 한국사회복지학회 65 (65): 313-334, 2013

      2 안정훈, "한국의 비약물적 치료와 항우울제 투약순응도의 관계" 대한의사협회 54 (54): 381-385, 2011

      3 박종익, "정신질환에 대한 사회적 편견" 대한신경정신의학회 55 (55): 299-309, 2016

      4 강웅구, "정신과전공의 수행평가 5년간의 분석과 전망" 대한신경정신의학회 48 (48): 359-367, 2009

      5 윤제식, "정신건강복지법 비판 : 비자의 입원 요건을 중심으로" 대한신경정신의학회 57 (57): 145-156, 2018

      6 송인한, "자살예방 공익광고 효과성 평가 : Propensity Score Matching을 사용한 지식, 태도, 행동의 변화 분석" 대한신경정신의학회 54 (54): 202-208, 2015

      7 이주연, "상담교사의 정신과 약물치료에 대한 인식과 치료 연계" 대한생물치료정신의학회 21 (21): 44-51, 2015

      8 최현정, "변증법행동치료(DBT)의 근거와 한국 보급: 체계적 문헌 고찰" 한국임상심리학회 37 (37): 443-463, 2018

      9 안경진, "대한민국의 새로운 정신건강의학과 전공의 수련과정개발" 대한신경정신의학회 52 (52): 187-196, 2013

      10 "https://www.mohw. go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=346078" Ministry of Health and Welfare

      1 서미경, "한국인의 정신건강이해력 평가와 취약집단분석" 한국사회복지학회 65 (65): 313-334, 2013

      2 안정훈, "한국의 비약물적 치료와 항우울제 투약순응도의 관계" 대한의사협회 54 (54): 381-385, 2011

      3 박종익, "정신질환에 대한 사회적 편견" 대한신경정신의학회 55 (55): 299-309, 2016

      4 강웅구, "정신과전공의 수행평가 5년간의 분석과 전망" 대한신경정신의학회 48 (48): 359-367, 2009

      5 윤제식, "정신건강복지법 비판 : 비자의 입원 요건을 중심으로" 대한신경정신의학회 57 (57): 145-156, 2018

      6 송인한, "자살예방 공익광고 효과성 평가 : Propensity Score Matching을 사용한 지식, 태도, 행동의 변화 분석" 대한신경정신의학회 54 (54): 202-208, 2015

      7 이주연, "상담교사의 정신과 약물치료에 대한 인식과 치료 연계" 대한생물치료정신의학회 21 (21): 44-51, 2015

      8 최현정, "변증법행동치료(DBT)의 근거와 한국 보급: 체계적 문헌 고찰" 한국임상심리학회 37 (37): 443-463, 2018

      9 안경진, "대한민국의 새로운 정신건강의학과 전공의 수련과정개발" 대한신경정신의학회 52 (52): 187-196, 2013

      10 "https://www.mohw. go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=346078" Ministry of Health and Welfare

      11 "https://www.medigatenews.com/news/778197647" Medigate News

      12 "https://www.hankookilbo.com/News/Read/201709070477377156" Hankookilbo

      13 "https://news.joins.com/article/23429039" JoongAng Ilbo Co., Ltd

      14 "http://www.nmhc.or.kr/ezboard.php?BID=b oard10&GID=root&mode=view&UID=8173&CURRENT_PAGE=1&SEARCHTITLE=&searchkeyword=&category=4&sysop=&fm=&BType=&ListMax=" The National Mental Health and Welfare Commission

      15 "http://www.ncmh. go.kr/kor/data/snmhDataView2.jsp?no=8681&fno=106&gubun_no=0&pg=1&search_item=0&search_content=&menu_ cd=K_04_09_00_00_T0" National Center for Mental Health

      16 "http://www.ncmh. go.kr/kor/data/snmhDataView2.jsp?no=8078&fno=106& gubun_no=0&pg=9&search_item=0&search_content=&menu_cd=K_04_09_00_00_00" National Center for Mental Health

      17 "http://www.monews.co.kr/news/articleView.html?idxno=110747" Medical Observer

      18 "http://www.mindpost. co.kr/news/articleView.html?idxno=535" Mindpost

      19 "http://www.medicaltimes.com/Users/News/NewsView.html?ID=1123721" MedicalTimes

      20 "http://www.dailypharm. com/Users/News/NewsView.html?ID=249305" Dailypharm

      21 "http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=381815" Statistics Korea

      22 "http://kormedi. com/1229367/일본은-어떻게-자살률을-줄였나/" KoreaMedicare

      23 Phillips DP, "The influence of suggestion on suicide: substantive and theoretical implications of the Werther effect" 39 : 340-354, 1974

      24 Chiles JA, "The impact of psychological interventions on medical cost offset: a meta-analytic review" 6 : 204-220, 1999

      25 Bloom DE, "The global economic burden of noncommunicable diseases" World Economic Forum 27-, 2011

      26 Kroenke K, "The Patient Health Questionnaire-2 : validity of a two-item depression screener" 41 : 1284-1292, 2003

      27 Korean Neuropsychiatric Association, "Textbook of neuropsychiatry" iMis company Co.,Ltd 209-240, 2017

      28 Rowling L, "School mental health: global challenges and opportunities" Cambridge University Press 6-20, 2015

      29 Wei Y, "School mental health: global challenges and opportunities" Cambridge University Press 30-45, 2015

      30 Lee JT, "Risk assurance for mental health in public and private sectors" Korea Insurance Research Institute 10-, 2018

      31 Shankland R, "Review of brief school-based positive psychological interventions: a taster for teachers and educators" 29 : 363-392, 2017

      32 Koons CR, "Negotiating for improved reimbursement for dialectical behavior therapy: a successful project" 20 : 314-324, 2013

      33 National Center for Mental Health, "National mental health statistics_pilot study" National Center for Mental Health 2018

      34 OECD, "Making mental health count: the social and economic costs of neglecting mental health care, OECD health policy studies" OECD Health Policy Studies, OECD Publishing 2014

      35 Ditty MS, "It takes a village: a mixed method analysis of inner setting variables and dialectical behavior therapy implementation" 42 : 672-681, 2015

      36 Song YM, "Evaluation of residency program using the result of in-training examination" 13 : 259-267, 2001

      37 Wiborg IM, "Does brief dynamic psychotherapy reduce the relapse rate of panic disorder?" 53 : 689-694, 1996

      38 Wittkampf KA, "Diagnostic accuracy of the mood module of the Patient Health Questionnaire : a systematic review" 29 : 388-395, 2007

      39 Katon W, "Cost-effectiveness of a multicondition collaborative care intervention : a randomized controlled trial" 69 : 506-514, 2012

      40 Katon W, "Cost-effectiveness and net benefit of enhanced treatment of depression for older adults with diabetes and depression" 29 : 265-270, 2006

      41 Waters L, "Contemplative education: a systematic, evidence-based review of the effect of meditation interventions in schools" 27 : 103-134, 2015

      42 Pampallona S, "Combined pharmacotherapy and psychological treatment for depression:a systematic review" 61 : 714-719, 2004

      43 Archer J, "Collaborative care for depression and anxiety problems" 10 : CD006525-, 2012

      44 Mulrow CD, "Case-finding instruments for depression in primary care settings" 122 : 913-921, 1995

      45 Andrade LH, "Barriers to mental health treatment: results from the WHO World Mental Health Surveys" 44 : 1303-1317, 2014

      46 Picco L, "Association between recognition and help-seeking preferences and stigma towards people with mental illness" 27 : 84-93, 2018

      47 ten Have M, "Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders" 45 : 153-163, 2010

      48 Kazdin AE, "Addressing the treatment gap: a key challenge for extending evidence-based psychosocial interventions" 88 : 7-18, 2017

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